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66
Dec 14, 2012
12/12
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CSPAN
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regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose their business. mr. smith, are you aware of this provision? >> i am not familiar with that section. >> let me ask you this. in this provision, you may not know this either, but the word quality is not defined in the statute. it is safe to assume that the secretary, not just secretary sebelius, but every secretary to follow, would be able to define for regulation what that word quality means. yes or no? >> i believe that is the correct interpretation. again, we have tried to introduce quality performances into a variety of parts of our programs, both in managed care, both in the fee-for-service world, and t
regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose...
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222
Dec 31, 2012
12/12
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WFDC
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con los equipos del area donde se dieron algunos buenos resultados pero no se logro ningun titulo, aca esta lo que paso con nuestros iniciamos nuestro resumen deportivo de fin de aÑo con las pocas alegrÍas que nos dejaron nuestros equipos del a Área. por ejemplo en el be Éisbol de grandes ligas, donde los nacionales de washington contra todos los pronÓsticos fue el mejor de la temporada regular, despues de muchos aÑos de espera lograron su clasificaciÓn a la postemporada, fueron varios meses de alegrÍa con los nacionales. muy cerca de acÁ, al otro lado del rio potomac tambiÉn fueron buenos momentos con los orioles de baltimore que hasta en los Últimos instantes luchaban para superar a los yanquis en el primer lugar de la tabla, sin embargo tambie Én lograron su clasificaciÓ n al playoffs. los oiroles quedaron fuera en la postempor ada pero terminaron peleando. otra buena alegrÍa fue en el fÚtbol de la mls donde d.c. united con un entrenador joven y con muchas ilusiones lograron su clasificaciÓn al playoffs tambiÉn despues de muchos aÑos de espera. el equipo capitalino
con los equipos del area donde se dieron algunos buenos resultados pero no se logro ningun titulo, aca esta lo que paso con nuestros iniciamos nuestro resumen deportivo de fin de aÑo con las pocas alegrÍas que nos dejaron nuestros equipos del a Área. por ejemplo en el be Éisbol de grandes ligas, donde los nacionales de washington contra todos los pronÓsticos fue el mejor de la temporada regular, despues de muchos aÑos de espera lograron su clasificaciÓn a la postemporada, fueron varios...
145
145
Dec 17, 2012
12/12
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WFDC
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eye 145
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primero fue aca en el verizon center donde los lakers se apoyaron una vez mÁs en el accionar del astro olÍmpico kobe bryant y salieron de una mala racha al vencer este viernes a los washington wizards 102-96. con esta victoria, el quinteto lagunero dejÓ atrÁs una cadena de cuatro derrotas seguidas, gracias al ataque de 30 puntos, siete rebotes e igual cantidad de asistencias de bryant. por el conjunto capitalino destacaron cartier martin, con 21 puntos saliendo de la banca, tambiÉn su mayor producciÓn de la temporada, y el brasileÑo nene É hilario y martell webster, con 17 tantos cada uno. la receta de los 102 siguio el sabado en miami, donde lebron james anotÓ 23 puntos y capturÓ 10 rebotes, y el heat conservÓ siempre la ventaja para derrotar por 102-72 a los washington wizards. udonis haslem y dwyane wade anotaron cada uno 13 unidades para miami, que superÓ en puntos a washington por 29-10 en el tercer periodo para irse arriba 33 tantos en el marcador. bradley beal anotÓ 19 tantos y cartier martin 18 por los wizards que sufrieron su derrota 18 de la temporada con apenas 3
primero fue aca en el verizon center donde los lakers se apoyaron una vez mÁs en el accionar del astro olÍmpico kobe bryant y salieron de una mala racha al vencer este viernes a los washington wizards 102-96. con esta victoria, el quinteto lagunero dejÓ atrÁs una cadena de cuatro derrotas seguidas, gracias al ataque de 30 puntos, siete rebotes e igual cantidad de asistencias de bryant. por el conjunto capitalino destacaron cartier martin, con 21 puntos saliendo de la banca, tambiÉn su...
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170
Dec 9, 2012
12/12
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MSNBCW
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your role was to begin the i am plemtation of aca. in certain ways you got the plum part of the job where you get to cover your young people longer and the end of these insurance mandates in certain ways. but this is the hard part. what should we be looking for? >> exchanges, if they're implemented correctly, can for the first time give individuals who have had no bargaining power against insurance companies, the same bargaining power that they would have if they worked for a large business. through these exchanges, 16 million people who haven't been in the market before are going to buy insurance, they're required to buy insurance. a majority of them will be subsidized by the federal government. so what a great opportunity that is for insurance companies and the exchanges if they go to insurance companies and say, we've got this new market for you. we want you to sell policies that provide good value. we want to have people be able to make apples to apples comparisons among standardized products. that's going to drive prices down and
your role was to begin the i am plemtation of aca. in certain ways you got the plum part of the job where you get to cover your young people longer and the end of these insurance mandates in certain ways. but this is the hard part. what should we be looking for? >> exchanges, if they're implemented correctly, can for the first time give individuals who have had no bargaining power against insurance companies, the same bargaining power that they would have if they worked for a large...
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100
Dec 14, 2012
12/12
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CSPAN
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there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will not be coordinated with other welfare programs creating eligibility verification issues. the mandate says we use the correct coding issues. pennsylvania already performed this task through claim check, a federally approved system that cost pennsylvania $12 million to develop. the new system will be micromanaged by the federal government. the ac man it's we create new transaction methods for verification. our technology is more advanced than what is mandated and nobody
there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor-...
84
84
Dec 14, 2012
12/12
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CSPAN
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eye 84
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the aca contends cost- containment measures by improving care. i was interested in arkansas's payment reform efforts. could you tell us a little bit more about the payment reforms and how they would bring down costs? >> we believe the in arkansas the incentives that we face and the activities we are engaged in in our payment and improvement initiative are aligned with the center for medicare and medicaid innovations. we are engaged in moving away from a fee for service to pay for out comes a denture health care instead of the process that we currently paid for. -- outcomes of in health care instead of the process we currently pay for. we are looking for patience centered care. if we look for that, we are going to have to pay for it. we have not done that in the past. we are engaged and dramatic and sweeping changes working with our private health insurance partners in arkansas. we have worked closely with cms to make the first of these changes, implementing in october for the state plan, not through waiver. it incentivizes for adhd, perinatal car
the aca contends cost- containment measures by improving care. i was interested in arkansas's payment reform efforts. could you tell us a little bit more about the payment reforms and how they would bring down costs? >> we believe the in arkansas the incentives that we face and the activities we are engaged in in our payment and improvement initiative are aligned with the center for medicare and medicaid innovations. we are engaged in moving away from a fee for service to pay for out...
95
95
Dec 17, 2012
12/12
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CSPAN2
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. >> but that is the point now that you have the aca that you can have this discussion in a way that was much harder to have before. it is really saying for those who are able to continue working, can we begin to reorient the expectation for the next generation, which is what we're talking about, recognizing that for people who are in that pre now pre-medicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this discussion takes on a whole different tone as a result of the affordable care act having passed. >> i mean, i would say we have options, but we don't know if they're affordable options, and that's really the big difference. >> al milliken, am media. what can we learn from other countries? i'm wondering if any of you have studied the health benefit programs elsewhere, and do any have comparable insurance programs, and what has been the experience in other nations? >> most of them are struggling mightily with the promises they have made which encourage people to retire even earlier than they do in the unit
. >> but that is the point now that you have the aca that you can have this discussion in a way that was much harder to have before. it is really saying for those who are able to continue working, can we begin to reorient the expectation for the next generation, which is what we're talking about, recognizing that for people who are in that pre now pre-medicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this...
144
144
Dec 8, 2012
12/12
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CSPAN
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implementing the aca is important in terms of delivery reforms. it pays doctors differently. it rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone through a really big debate about finding a way to have all americans have health insurance. that is taking a group of americans and figure out how they afford health coverage. that shifts the costs of subsidies and they go into the exchange. does makes it more expensive for younger people because the older cohort is in that group? for medicare, these are the least expensive seniors we have. the most expensive seniors are much older. you have to look exactly at the consequences and whether that is cost savings for government and families? >> the president had a firm statement this week to the business roundtable about the debt ceiling where he said, i will not play that game. he will not negotiate for conditio
implementing the aca is important in terms of delivery reforms. it pays doctors differently. it rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone through a really big debate about finding a way to have all americans have health insurance. that is taking a group of...